Forest Ridge Health & Rehab - Bremerton Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
505240
Provider Name
FOREST RIDGE HEALTH & REHAB
Provider Address
140 SOUTH MARION AVENUE
BREMERTON, WA 98312
BREMERTON, WA 98312
Provider Phone Number
(360) 479-4747
Provider SSA County
170
Provider County Name
Kitsap
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
98
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1976-05-14
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.08542
Reported LPN Staffing Hours per Resident per Day
0.43698
Reported RN Staffing Hours per Resident per Day
1.00313
Reported Licensed Staffing Hours per Resident per Day
1.44010
Reported Total Nurse Staffing Hours per Resident per Day
3.52553
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04219
Expected CNA Staffing Hours per Resident per Day
2.34632
Expected LPN Staffing Hours per Resident per Day
0.68208
Expected RN Staffing Hours per Resident per Day
1.07301
Expected Total Nurse Staffing Hours per Resident per Day
4.10141
Adjusted CNA Staffing Hours per Resident per Day
2.18086
Adjusted LPN Staffing Hours per Resident per Day
0.53174
Adjusted RN Staffing Hours per Resident per Day
0.69854
Adjusted Total Nurse Staffing Hours per Resident per Day
3.46492
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2015-02-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-01-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-12-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
47.33300
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
4
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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